Proviso Family Services Inc – Family Nurse Practitioner, NPI 1235411703

Proviso Family Services Inc is a healthcare provider. based in Bolingbrook, Illinois. specializing in Family Nurse Practitioner. The NPI Number for Proviso Family Services Inc is 1235411703

Main info

Organization
Name
Proviso Family Services Inc
NPI
1235411703
Phone
(630) 914-2417
Address
1000 REMINGTON BOULEVARD
Authorized Official
MRS. MELVONNE WICKLIFFE-JONES CREDENTIALING MGR
Enumeration Date
12 September 2011
Last Update Date
9 April 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness80
Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Proviso Family Services Inc

  • 1000 REMINGTON BOULEVARD

    SUITE 100

    BOLINGBROOK, IL 604400000

    Phone: (630) 914-2417

    Fax: (630) 914-2499

    Type: Mailing

  • 2940 N ASHLAND AVE

    CHICAGO, IL 606574004

    Phone: (773) 525-4440

    Fax: (773) 525-7771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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Frequently asked questions

What unique ID ties claims to Proviso Family Services Inc?
NPI 1235411703 is assigned to Proviso Family Services Inc under the national enumeration system.
Is Proviso Family Services Inc's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Proviso Family Services Inc?
The page reflects Family Nurse Practitioner for Proviso Family Services Inc. Clinical services aligned with this taxonomy classification.
Where does public data place Proviso Family Services Inc?
The snapshot lists Bolingbrook, Illinois for Proviso Family Services Inc; download NPPES for the complete set.
What if Bolingbrook, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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